- Northeast Georgia Health System, Inc (Gainesville, GA)
- …to Epic data integrity, contract management system integrity, managed care contract negotiations, and managed care payer relations, including both claim and ... revenue cycle function. This position provides reports for the Medical Economics Manager and/or Contracts Integrity Managers concerning payment variance issues.… more
- Northeast Georgia Health System, Inc (Demorest, GA)
- …month end according to organization guidelines. Provides monthly AR report to AR Manager and facility administrator on a monthly basis. Works closely with auditors ... and state surveyors as dictated by governmental and payer regulations. Oversees review of financial documents for completeness and accuracy for all new admissions… more
- Takeda Pharmaceuticals (Atlanta, GA)
- …true to the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts , you will lead the development and implementation of ... deadlines relative to contract expirations and post contract evaluation for payer accounts to achieve...+ Will lead the technical and analytical support for payer contracts . + Independently work with Legal,… more
- Sumitomo Pharma (Atlanta, GA)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- Intermountain Health (Atlanta, GA)
- …contractual allowances and variances, monitoring of individual claims (logs)). Interacts with Payer Contract resources and Pharmacy Director as needed. 3. ... **Job Description:** Scope: The Pharmacy Contract Reimbursement Specialist assists with Pharmacy Benefit ...can be remote! Job Profile: 1. Ensure Pharmacy Benefits Manager (BPM) contracts are properly drafted, and… more
- Takeda Pharmaceuticals (Atlanta, GA)
- …to take charge of your future at Takeda. Join us as a Key Account Manager in our Minneapolis, MN geography. Here, everyone matters, and you will be an important ... to our inspiring, bold mission. As a Key Account Manager (KAM) in our Gastroenterology Business Unit, you will...with applicable partners to provide and help execute new contracts or address any updates to provider contracts… more
- Zelis (Atlanta, GA)
- Position Overview At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned ... for each assigned network partner, ensure rates are in line with client contracts in addition to maintaining network partner rates on published Network Rate Sheet… more
- HealthEdge Software Inc (Atlanta, GA)
- …door to new value-based reimbursement models, benefits plans and provider contracts . The complete suite of solutions fromHealthEdgedelivers a digital foundation for ... payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Manage and standardize programs to meet the client's release/deployment and quality criteria. +… more
- HealthEdge Software Inc (Atlanta, GA)
- …to grow with their organization over time-bringing disparate parts of a payer 's organization together for improved accuracy and insights. The Source platform offers ... Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity… more
- Prime Therapeutics (Atlanta, GA)
- …Serves as facilitator and mentor to the clinical liaisons for assigned contract (s). Assists Account Managers with managing overall client relationship and driving ... program. Provides guidance, assistance and mentoring to assist the Account Manager staff in attaining goals. Requires communication across all departments and… more
- CenterWell (Atlanta, GA)
- …support accreditation requirements + Oversight of home infusion reporting for third party payer contracts + Monitor the following key functions: + Program ... vendors and as necessary + Reviews and updates vendor contracts with procurement as necessary + Ensure that the...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- The Cigna Group (Atlanta, GA)
- …s competitive advantage. + Assist National Account Managers in implementing key payer contracts to drive local pull-through business. Communicates regularly with ... Accredo - GA / SC Territory** The Sr. Specialty Sales / Account Manager is responsible for promoting and selling Accredo' s Specialty Pharmacy Services in… more
